Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:
Highly Efficient Medical Biller with experience in Anesthesia, Toxicology, Genetic Screening, Respiratory (RRP), Basic Wellness, Complete Wellness, and Cardiometabolic Laboratory testing. Excellent multi-tasker and demonstrated team player with a positive attitude. Experienced Billing Manager overseeing 50+ team members and daily Billing Operations. Experienced with Healthfusion and Kareo Billing Systems. Experience with reviewing Rejections and Denials. Experience with reviewing EOB's. Strong attention to detail and extensive knowledge of Medical Terminology.
  • Maintains strict confidentiality (HIPPA Certified)
  • CPT and HCPCS coding
  • Electronic Medical Record (EMR) software
  • Extensive anatomy/physiology knowledge
  • HIPAA compliance
  • Medical billing software
  • Knowledge of HMOs, Medicare and Medi-Cal
  • Rejections and Denials review
  • Reading EOB's
  • Strong work ethic
  • Team player with positive attitude
  • Deadline-driven
  • Good written communication
  • Exercises good judgment
  • Strong planning skills
  • Billing Manager experience overseeing daily Billing Operations
  • Detail Oriented
Billing Operations Manager, 04/2015 - 08/2017
Alto Pharmacy Las Vegas, NV, Accurately entered procedure codes, diagnosis codes and patient information into billing software. Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses. Thoroughly reviewed remittance codes from EOBS/AR's.
Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house. Performed quality control of the data entry system to verify that claims and payments were posted correctly.
Billed all lab claims with attached lab slips. Performed full-cycle medical billing in a fast-paced medical billing company. Oversaw 50+ team members as Billing Manager with the day to day Billing Operations including Charge Entry, Rejections, Resubmissions, AR Followup, and Payment Posting.
Cashier/Office Assistant, 10/2013 - 04/2015
Basil Family Dealerships Fredonia, NY, Answered customers’ questions and addressed problems and complaints in person and via phone. Opened and closed the store, which included counting cash drawers and making bank deposits. Offered exceptional customer service to differentiate and promote the company brand. Built customer confidence by actively listening to their concerns and giving appropriate feedback. Built and maintained effective relationships with peers and upper management. Recruited, hired, developed and retained retail talent for the company. Performed Payroll every 2 weeks, and maintained accurate employee records.
Education and Training
Certificate: Licensed Vocational Nursing, Expected in 1984
Austin Community College - Austin, Texs
Coursework in Licensed Vocational Nursing Program.
Associate of Applied Science: Registered Nursing, Expected in 1987
Del Mar College - Corpus Christi, Texas
Coursework in Associate Degree Nursing Program

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    School Attended

    • Austin Community College
    • Del Mar College

    Job Titles Held:

    • Billing Operations Manager
    • Cashier/Office Assistant


    • Certificate
    • Associate of Applied Science

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